ST KEROLLOS PHARMACY INC
NPI: 1306344858
· CARSON, CA 90745
· Long Term Care Pharmacy
· NPI assigned 01/30/2018
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | HENEIN, BASSEM (OWNER) |
| NPI Enumeration Date | 01/30/2018 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
33 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90694 |
|
15 |
15 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
18 |
18 |
$0.00 |